单硝酸异山梨酯联合低分子肝素治疗肺心病右心衰临床观察.pdfVIP

论 著 CHlNAFOREIGNMEDICAL 暖圃 单硝酸异 山梨酯联合低分子肝素治疗肺心病右心衰临床 观察 宋一波 陈智华 江丽洪 陈少梅 (广东省茂名市人民医院 广东茂名 525000) 【摘要】目的 探讨单硝酸异山梨醋联合低分子肝素对慢性肺源性心脏病右心衰竭的疗效。方法 回顾分析2006年至2010年我院收 治的慢性肺 ·病右心衰病例，随机分成观察组和对照虹各50倒。观察组在常规治疗基础上加用单硝酸异山梨醋及低分子肝素。对照纽只给 予常规治疗，疗程7～10d。结果 观察组总有效率为88％，对照组总有效率为64％，两者间有统计学差异。结论 单硝酸异山梨醋联用低 分子肝素治疗肺心病右心表疗效优于对照组。 【关键词l单硝酸异山梨酯 低分子肝素 肺心病 治疗 【中图分类号lR541 【文献标识码 lA 【文章编号l1674--0742(2o11)o6(b)--00l5--02 ClinicalObservation on TreatmenttoRightVentricularFailurein PulmonaryHeart Diesaes by a Combination ofIsosorbideMononitrateandLow-molecular-weightHeparins SONGYibo CHEN Zhihua JIANG Lihong CHEN $haomei MaomingMunicipalPeople’sHospital，GuangdongProvince。Guangdong525000。China [Abstract]Objective Toresearchintothetreatmenteffectsonrightventricularfailureinchronicpulmonaryheartdiseasebya combination ofisosorbidemononitrate and low--molecular--weightheparins．Methods Retrospectivelyanalyzed casesofchronicright ventricular failure in pulmonary heartdisease treated in our hospitalfrom 2006 to 2010 by dividing the 50 cases randomly into an observation group and a comparison group．Fortheobservation group，on the basis0fconventionaltreatment。isosorbide mononitrate and low--molecular--weightheparinswere added intothe treatment．Forthe comparison group，only conventionaltreatment wasgiven． The courseoftreatmentWaS7～10days．Results Thetotaleffectiverate oftheobservation group was 88％，while thatofthe observationgroupWas 64％．Therewasastatisticaldifferencebetween thetwo．Conclusion Theeffectsoftreatingrightventricular failure in pulmonary heart disease by a combination of isosorbide mononitrate and low--molecular--weight heparinsare betterthan that of the comparison